RCES Exam Review Questions with All Complete Solutions

RCES Exam Review Questions with All Complete Solutions What are the 3 steps that should be used when searching for a patient in EPIC? - ANSWER 1. Full last name, full first name 2. Full last name, full first name with the "Sounds Like" box 3. Clear Everything Out) SSN Where should any misspelled names, hyphenated names, and nicknames go in EPIC? - ANSWER Alias field of "Patient Demographics" What is the proper address format for apartment address & PO Box address: - ANSWER Apartment: -First line or Same Line PO Box address: -Second line When verifying patient information in EPIC, what types of questions should be asked? - ANSWER Open ended How many patient contact (Emergency Contacts) should a patient have? - ANSWER At least one When creating a new guarantor account, you should click "Create New Account" or "Find Existing Account"? - ANSWER "Create New Account" What types of information should be verified at each visit? - ANSWER Anything that could change: Address, Phone #'s, Employer, Contacts, PCP, Insurance, etc. The patient is listed as the current guarantor. Should you click "Guarantor Demographics" or "Add Guarantor" to update the patient's address? - ANSWER "Guarantor Demographics" Who qualifies for traditional Medicare? - ANSWER -65 years or older -Mentally or Physically Disabled -Patients with ESRD (End Stage Renal Disease) For traditional Medicare, What does Medicare Part A cover? - ANSWER -Inpatient -Skilled Nursing -Hospice -Home health For traditional Medicare, What does Medicare Part B cover? - ANSWER Outpatient services What is the payor/plan for traditional Medicare (Part A and Part B eligible)? - ANSWER MEDICARE / MEDICARE PART A & B How is an MBI for traditional Medicare formatted? - ANSWER Randomly generated ID consisting of 11 characters. These are both numbers and uppercase letters. Each MBI is unique What are Medicare supplements? - ANSWER Additional insurance to cover out-of-pocket expenses from traditional Medicare (indemnity plans) Should Medicare supplements be registered before Medicare? - ANSWER NO NEVER Is Medicare always a primary insurance? - ANSWER No. It can be secondary at times -Ex. Medicare can be secondary to: -Large group Health Plans, Black Lung, Veteran's programs, Worker's Comp., Auto and Liability Claims What are Medicare Advantage/ Replacement Plans? - ANSWER Plan that replaces Traditional Medicare. Often covered by private company contracts with Medicare. Can have copays, referral or auto requirements, etc, that Traditional Medicare plan would not